Challenges with scale-up of GeneXpert MTB/RIF® in Uganda: a health systems perspective

• Main Authors: Talemwa Nalugwa (Author), Priya B. Shete (Author), Mariam Nantale (Author), Katherine Farr (Author), Christopher Ojok (Author), Emma Ochom (Author), Frank Mugabe (Author), Moses Joloba (Author), David W. Dowdy (Author), David A. J. Moore (Author), J. Lucian Davis (Author), Adithya Cattamanchi (Author), Achilles Katamba (Author)
• Format: Book
• Published: BMC, 2020-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Abstract Background Many high burden countries are scaling-up GeneXpert® MTB/RIF (Xpert) testing for tuberculosis (TB) using a hub-and-spoke model. However, the effect of scale up on reducing TB has been limited. We sought to characterize variation in implementation of referral-based Xpert TB testin...